Provider Demographics
NPI:1619972874
Name:BRIGHTBILL, TODD C (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:C
Last Name:BRIGHTBILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000A SOUTHBRIDGE PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7718
Mailing Address - Country:US
Mailing Address - Phone:205-871-4274
Mailing Address - Fax:205-871-4301
Practice Address - Street 1:800 MONTCLAIR RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1908
Practice Address - Country:US
Practice Address - Phone:205-592-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000152072085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-71004OtherBLUE CROSS
AL515-41125OtherBLUE CROSS
AL009911629Medicaid
AL171042Medicaid
AL5354353OtherAETNA
AL000031376Medicaid
AL009942992Medicaid
AL051026462OtherBLUE CROSS
AL515-05106OtherBLUE CROSS
AL051031376OtherBLUE CROSS
AL511-60931OtherBLUE CROSS
AL510-31376OtherBLUE CROSS
AL515-42607OtherBLUE CROSS
AL051031376OtherBLUE CROSS
AL515-42607OtherBLUE CROSS
AL511-60931OtherBLUE CROSS
AL300072642Medicare PIN